Kelowna Youth Soccer Association 2008 Registration Form

Mail to: Box 20249, Kelowna , B.C. V1Y 9H2 Registration Phone Number: 762-3225 Website: www.kelownayouthsoccer.com Email: kysa@shaw.ca   FAX: 717-3225

Drop off: Eurosport #3-1771 Cooper Rd. (corner of Cooper Rd. & Enterprise Way)

Registration must be received by February 4, 2008 . Payment may be post-dated to March 1, 2008 . All fees include a non-refundable administration fee of $10.00 CHEQUES OR MONEY ORDERS (one per family) ONLY PLEASE (No Cash) Players new to KYSA must attach a copy of their birth certificates to the registration form.

	Before Feb 4.	After Feb 4.
Mini Soccer (U6-U10)           (born January 1, 1998 to December 31, 2002 ) Divisional Soccer (U11-U18)  (born January 1, 1990 to December 31, 1997 ) Family Rate (3 or more children playing for KYSA)	$115.00 $115.00 $280.00	$130.00 $130.00 $325.00

After February 4, 2008, fees are increased by $15 per player, as outlined above. Nobody registering after February 4th is guaranteed a place on a team. Names will be kept on a waiting list, and will be assigned to teams if and when space is available. Don't wait too long!! People have missed out in the past!!!
________________________________________________________________________________________________________

FAMILY INFORMATION:
Family Name:_______________________________  Parent(s)/Guardian(s):______________________________
Address: _____________________________________________________   Postal Code: _________________
Home Phone: ________________________   Home Email Address: ___________________________________

PLAYER INFO: Player #1 Player #2 Player #3 Player #4
First Name: __________________________ __________________ __________________ _________________
Surname:     __________________________ __________________ __________________ _________________
Gender: (circle one)             B / G                                 B / G                               B / G                              B / G
Birthdate:           _______________________ __________________ __________________ _________________
KYSA 2007?:                   Yes / No                           Yes / No                        Yes / No                        Yes / No
School : _____________________________ __________________ __________________ _________________
Request Friends? (Max 2)________________ __________________ __________________ _________________
                                        ________________ __________________ __________________ _________________
Other sports? (April-Sept)________________ __________________ __________________ _________________

Parents: Can you help the Kelowna Youth Soccer Association? We are looking for people in the following areas: (please check)

Name of Parent/Volunteer: ………………………………………….. Phone Number: ………………

______Coach - Age group?_____________ ______Assistant Coach - Age group ___________ ______Executive Position ______Team/Individual Photo Organization

______Equipment/Uniforms Organization ______Tournament Volunteer ______Registration Volunteer